Individual
NAOMI Y PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660
(949) 722-7038
Mailing address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-7038
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19331
CA
Other
Enumeration date
10/19/2007
Last updated
02/17/2020
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